Stacy Spicer

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13139 Issued in FL

Practice address

4131 NE 31St Ave
Lighthouse Point, FL 33064-8438

Phone

(305) 528-4965

NPI assigned

Nov 22, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1952603136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 NE 31ST AVE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648438",
            "telephone_number": "305-528-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 NE 31ST AVE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648438",
            "telephone_number": "305-528-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Deborah Simon, APRN, PMHNP-BC
• Andrew E Slatkow, DC
• Cristel Sledd
• Sherine Smith
• South Florida Medical Centers Inc
• St. Lucie Anesthesia Associates LLC
• Paige Sterling
• Steven Wigdor OD PA
• Brittany Strowbridge
• Gabriela Swanson, DNP, CRNA

• Speech-Language Pathologist in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.